| Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc |
| Journal website http://www.currentsurgery.org |
Original Article
Volume 2, Number 3, June 2012, pages 89-95
Penetrating Heart Injuries and Common Difficulties Encountered During Emergency Surgery
Tables
| Case | Age | Gender | Etiology | Injury Side (Front/Back) | Clinical State At Application |
|---|---|---|---|---|---|
| *ICS: Intercostal space. | |||||
| 1 | 24 | Male | Stabbed | Front /Left midclavicular line, 6th ICS* | Hypotension and tachycardia/ Stabile |
| 2 | 19 | Male | Stabbed | Front /Xiphoid | Deep shock and shallow breathing |
| 3 | 16 | Male | Stabbed | Front /Right parasternal region, 6th ICS | Hypotension and tachycardia / Stabile |
| 4 | 16 | Male | Stabbed | Back /Left scapular inferior end | Deep shock |
| 5 | 25 | Male | Stabbed | Back /Left posterior axiller line | Deep shock and shallow breathing |
| 6 | 40 | Male | Sternal fracture | Front /Sternal corpus | Deep shock |
| 7 | 53 | Male | Costal fracture | Front /Right parasternal region | Deep shock |
| 8 | 65 | Female | Stabbed | Back /Left scapula lateral edge | Deep shock |
| 9 | 14 | Male | Stabbed | Front /Left prasternal region, 5th ICS | Hypotension and tachycardia/ Stabile |
| 10 | 25 | Male | Stabbed | Front /Left midclavicular line, 5th ICS | Deep shock and shallow breathing |
| 11 | 30 | Male | Stabbed | Front /Left parasternal region, 4th ICS | Deep shock and shallow breathing |
| Case | Cuttıng Size (cm)/ Number | Cardiac Injury Localization | |||||
|---|---|---|---|---|---|---|---|
| Pericardial Cutting/Rupture | Valve Injury | Tamponade | Right Ventricule Injury | Left Ventricule Injury | Coronary Vascular Injury | ||
| *LAD: Left anterior descending artery. | |||||||
| 1 | 2/1 | Cutting | No | No | No | Lateral | No |
| 2 | 2/2 | Cutting | No | Yes | Base-posterior | No | No |
| 3 | 1/1 | Cutting | Yes | Yes | Interventriculer septum | No | No |
| 4 | 2/1 | Cutting | No | No | No | Lateral | LAD* |
| 5 | 2/2 | Cutting | No | No | No | Lateral | No |
| 6 | 2/1 | Rupture | No | No | Anterior | No | No |
| 7 | 1/1 | Rupture | No | No | No | Anterior | No |
| 8 | 1/2 | Cutting | No | Yes | No | Posterior | No |
| 9 | 0.5/1 | Cutting | No | No | No | Anterior | No |
| 10 | 2/1 | Cutting | No | Unknown | No | Anterior | No |
| 11 | 2/1 | Cutting | No | Unknown | No | Anterior | No |
| Case | Major Vascular Injury | Lung Injury | Bone Injury | Incision | First Bleeding Control | Difficulty During Surgery |
|---|---|---|---|---|---|---|
| 1 | Left Hemothorax, Parenchymal Cutting | Left Anterolateral | Compression With Finger and Foley Cathater | Foley Cathater Was Perforated | ||
| 2 | Left Anterolateral | Compression With Finger and Foley Cathater | Foley Cathater Was Perforated and Cutting at Posterıor Wall Could Not Be Reached | |||
| 3 | Left Hemothorax | Right Anterolateral | Compression With Finger and Foley Cathater | |||
| 4 | Left Hemothorax, Parenchymal Cutting, Hilus Injury | Left Posterolateral | Compression With Finger and Foley Cathater | Foley Cathater Was Perforated and Finger Prick | ||
| 5 | Descending Aorta | Left Hemothorax, Parenchymal Cutting | Left Posterolateral | Compression With Finger | Hemorrhage From Aorta Could Not Be Stopped | |
| 6 | Bilateral Hemothorax, Pneumothorax, Parenchymal Injury | Sternal and Costal Fracture | Right Anterolateral | Compression With Finger | ||
| 7 | Bilateral Hemothorax, Pneumothorax, Parenchymal Injury | Costal Fractrue | Clam-Shell | Compression With Finger | ||
| 8 | Descending Aorta | Hemothorax, Parenchymal Cutting | Left Posterolateral | Compression With Finger | Hemorrhage From Aorta Could Not Be Stopped. | |
| 9 | Hemothorax | Sternotomy | Primary Suturing | |||
| 10 | Left Anterolateral | |||||
| 11 | Left Anterolateral |